Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 I getcha. You're not a confrontational type person and telling the doctor, who supposedly should know this stuff, is intimidating. Nevertheless, it's YOUR body that's going to suffer from high BGs, not his. His parameters are DEFINITELY too high. Tell him you want your BGs down to non-diabetic levels so you won't get complications and you want to start right now. Tell him you've done your research and can't lower your carb intake because of your kidney problems and this also precludes most pills. Tell him youi're willing to take insulin (he may die of shock) and would appreciate it if he would write a prescription for UL and Humalog (my own personal preference).. He may not feel comfortable with this but tell him you'll have some excellent support and instruction. Then we'll help you all we can, Patti. I haven't read all my emails and you may have sent one saying you want those articles on type 2 and early insulin therapy. I'm going to send them to you anyway. Print 'em out, read 'em yourself, show 'em to your doctor. And please let us know what happens. Vicki, LADA type 1 diagnosed 1997, UL and Humalog insulin and lotsa testing, no complications. .. Got some test results part 2 > > > I'm just more confused as ever..I know that 7.5 isn't bad but it > indicates that something is going on within my body. > My GP wanted me to maintain a blood sugar between 146 and 164 I > think that is still too high. > My doctor must not be up to date on diabetes and tests etc. > I'm just confused about this matter and feel totally lost in what to > say or do to this doctor. > I don't want to come across to my doctor a know it all. But its my > body and health that is in question here. > I go and see him tomorrow and I need some advice on how to take and > talk to me doctor about this. > Please Help wiht any advice or encouragement. > Patti aka patti_cakes70 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 Vickie No I'm not an confrontational person I guess I accept the doctor at his word so to speak I guess that is the learned response. I have researched the American Diabetes Associations Standrards of diagnosing Diabetes and the American Association of Diabetic Educators, The American Association of Clinical Endocrinologists, all of these indicate that I have type 2 and that medical intervention is needed to help me control my high BS's. I called the American Diabetes Associations 1-800 number and talked about this same subject one thing she mentioned that in order to be confirmed of diabetes is the ORAL Glucose tolerence test where you drink glucose rich beverage. The only tests I had is the Fasting Blood Sugar and that was 168 and the A1c test of 7.5 Do I need the Oral Gluscose tolerence Test too since my other tests show type 2? You see why I'M CONFUSED I want to go armed to the teeth when I see my doctor tomorrow. Any ADDITIONAL help and information will be greatly appreciated. Thanks Patti Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 > -----Original Message----- > From: Patti_Cakes70 .... > The only tests I had is the Fasting Blood Sugar and that was 168 and > the A1c test of 7.5 > Do I need the Oral Gluscose tolerence Test too since my other tests > show type 2? I'm not a doctor, but your fasting blood sugars are high enough for a formal diagnosis according to the ADA website, so I do not see why an OGTT is needed in your case. Tom the Actuary Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 Patti, Tell your doctor that you have read a lot of research that states that those numbers still pose too significant of a risk for future complications (especially as you are currently experiencing complications!) The ADA, which has very lax guidelines as far as most of are concerned, says /below 7.0/ which seems to be what he's going by. A 7.0 translates to an average glucose of 172. The TOP of the range that most would recommend as a GOOD Hba1C is an average of 143 (Hba1C of 6.3). My mom's endo wants her below 6. If you're willing to do what it takes to get where you need to be, TELL your doctor. DEMAND to go to an endo who specializes in diabetes, who is up to date on the latest research, and who is going to give you the tools you need -- be it insulin or a prescription for 250 or so test strips a month if that's what it takes for you to get your blood sugar in control and keep it there. SulaBlue > > I'm just more confused as ever..I know that 7.5 isn't bad but it > indicates that something is going on within my body. > My GP wanted me to maintain a blood sugar between 146 and 164 I > think that is still too high. > My doctor must not be up to date on diabetes and tests etc. > I'm just confused about this matter and feel totally lost in what to > say or do to this doctor. > I don't want to come across to my doctor a know it all. But its my > body and health that is in question here. > I go and see him tomorrow and I need some advice on how to take and > talk to me doctor about this. > Please Help wiht any advice or encouragement. > Patti aka patti_cakes70 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 A lot of doctors don't do the oral glucose tolerance test these days. My opinion is... why bother? If I've got an Hba1C of 7.5, which is WAY ABOVE NORMAL, that states that my blood sugar *constantly* stays above normal, why would I want to go jacking my blood sugars up even HIGHER above their already high levels, just so I can have the doc say " Well gee, your blood glucose is higher than it should be. " I didn't have this test. When I went in, without fasting, my BS was at 230 or so. My Hba1C was 9.6. My triglycerides were elevated signifcantly. There's also a family history of diabetes in my case. The test would have merely been stating the obvious. SulaBlue > I called the American Diabetes Associations 1-800 number and talked > about this same subject one thing she mentioned that in order to be > confirmed of diabetes is the ORAL Glucose tolerence test where you > drink glucose rich beverage. > The only tests I had is the Fasting Blood Sugar and that was 168 and > the A1c test of 7.5 > Do I need the Oral Gluscose tolerence Test too since my other tests > show type 2? > You see why I'M CONFUSED I want to go armed to the teeth when I see > my doctor tomorrow. > Any ADDITIONAL help and information will be greatly appreciated. > Thanks > Patti Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 No, you don't need a glucose tolerance test, Patti. That would be redundant, a waste of time and money. Although the ADA is considered to be the ultimate authority on diabetes care by most medical professionals and most laypeople, they sure don't have MY respect. How can I respect any organization that states their purpose is to help diabetics then keeps promulgating a high carb / high GI diet, when it's obvious that high GI carbohydrates in the diabetic body cause BGs to go way up? Carbohydrates are NOT an essential nutrient. I think you'll get better information on this list. Vicki Re: Got some test results part 2 > > > > Vickie > No I'm not an confrontational person I guess I accept the doctor at > his word so to speak I guess that is the learned response. > I have researched the American Diabetes Associations Standrards of > diagnosing Diabetes and the American Association of Diabetic > Educators, The American Association of Clinical Endocrinologists, > all of these indicate that I have type 2 and that medical > intervention is needed to help me control my high BS's. > I called the American Diabetes Associations 1-800 number and talked > about this same subject one thing she mentioned that in order to be > confirmed of diabetes is the ORAL Glucose tolerence test where you > drink glucose rich beverage. > The only tests I had is the Fasting Blood Sugar and that was 168 and > the A1c test of 7.5 > Do I need the Oral Gluscose tolerence Test too since my other tests > show type 2? > You see why I'M CONFUSED I want to go armed to the teeth when I see > my doctor tomorrow. > Any ADDITIONAL help and information will be greatly appreciated. > Thanks > Patti > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2004 Report Share Posted October 14, 2004 Well, they are *AN* essential nutrient, but yeah... way overstressed in the food pyramid. Remember, the brain functions mostly on glucose, more than any other organ. A mind is a terrible thing to starve SulaBlue > > Carbohydrates are NOT an essential nutrient. > > I think you'll get better information on this list. That, I will agree with 100% > Vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2004 Report Share Posted October 15, 2004 Patti, If having an oral test is going to make *you* assured of the diagnosis, then go for it. I was dx'd in 1997, accidentally as I was in to my doctor for other reasons but complained about some things that finally alerted her. I did a fasting test the next day (what I now know is an A1c) and I was dx'd as a full-blown diabetic (if you want to call it that) with a fasting of 126 and an A1C of 6.5. There was no hand-wringing by the doctor or Kaiser as to whether or not I was a diabtic. I was brought in for a visit a couple of weeks later to get a meter etc etc. They did a stick in her office and I was at something like 185 or so after lunch. Subsequently, a nurse said .. well, you know you could probably fight this diagnosis since you are right on the borderline with the numbers. And exactly what would that do for me I asked her? Would it mean I wasn't diabetic if the dx is changed?? If I am out of control for a prolonger period of time, I am quite capable of fastings in the 300+ area and pp's of 500+. I would say that makes me a diabetic. Suzz, t2, dx97, d & e only ------------ > about this same subject one thing she mentioned that in order to be > confirmed of diabetes is the ORAL Glucose tolerence test where you > drink glucose rich beverage. > The only tests I had is the Fasting Blood Sugar and that was 168 and > the A1c test of 7.5 > Do I need the Oral Gluscose tolerence Test too since my other tests > show type 2? Quote Link to comment Share on other sites More sharing options...
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